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Old 09-16-2007, 09:22 AM   #1
shellbuck
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Join Date: Jun 2006
Location: Crofton, Maryland
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Long Term Treatment with Herceptin

Tomorrow I am having a new Mediport implanted. The first started poking through my neck, so my BC surgeon removed it. My oncologist and her decided I should have a new one because I am on long-term Herceptin treatment. I finished chemo in January (after 6 months of weekly treatments), but continue to get H every 3 weeks. My oncologist said he has another patient who has been on it for 3 years. I'm beginning to wonder what the consequences will be if I discontinue treatment.
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Old 09-16-2007, 09:40 AM   #2
hutchibk
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There are some here who have been getting it much longer than 3 years! I think Andi BB has been for much more than that and tolerates it great and is tooling along. I am no longer on it, as I was switched to Tykerb/Xeloda due to brain mets, but it is still an option in my future. If you have had mets and it can help you stay clear or stay stable, and it's not an issue for your heart, stay on it as long as they will let you I say!
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 09-16-2007, 10:15 AM   #3
Andrea Barnett Budin
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Location: LAND OF YES! w/home in Boca Raton, Florida Orig from L.I., N.Y. Ever hovering IN THE NOW...
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Wink Brenda Is Right. Again!

Hi Shell! It is true. You can read my signature. I've been on Vitamin H since '98. Fatigue, yes. I take supplements to boost me up. Flagging red bld cell cnt yes. For me. I used to get Aranesp (or Procrit) injections to fix that which would last mnths but NEW RULES. Medicare won't cover the now up to $8000 injection unless you're under 10. I'm at 11.1 and have never been lower. But I'm hanging in. BTW, I'm not yet Medicare patient but insur co are following it's lead. Bummer. In fact, I'm furious. I told my onc last Fri -- I PROTEST. He smiled. I said I just want you to note that in the chart. I wrote and read to me a plea to make an exception in my case as I am a slug. But, as I say, supplements (listed in 6/30 thread TO "SUPPLEMENT" OR WAIT) are keeping me going pretty well.

I absolutely believe H is keeping mets at bay. Been stable since May '99. Check out all body parts w/CT scans, transvag pelv sono, ECHO of course, bone density. No joint pain which I think is due to Omega 3s, etc. on my list. You still take all this crap asked my onc looking at my latest alphabetized list of supplements (like 3 doz). Yes, I do, I said, adding -- that's why I'm IN THE 1% CLUB. My Dr. V, rock star onc calls me that, says he doesn't know why I'm still here, says I'm very lucky. I think meditation, guided imagery, faith, determination and supplements tip my *good fortune*. Oh, and LOVE. I live open to soaking in Universal Love and offer it often to all I encounter. I just keeps on bouncing right back at me, in accordance with karmic law or something. I believe WHAT YOU THINK ALL DAY DETERMINES HOW YOU *FEEL* -- I feel joyful and serene most of the time, and deeply grateful for all I have, in awe at Life. I also believe WHAT YOU DWELL ON ALL DAY PREDICTS *OUTCOME*, so I stand guard and chase all fearful, doubting, scary, angry thoughts down. I vent them, as we must. Sometimes RIGHT HERE, as this is a great place to let it out, and then I consciously move on to reprogram my mental chatter. I WILL BE HEALTHY AND WELL. NO MORE CANSER !!!! This serves as a command to your body. Your body hears everything you say and think, whisper and slide on by unnoticeably and follows orders. It takes your directions very seriously. And -- I remain connected to my Spirit, which I believe is my Soul -- eternal and wise, my True Self. A fragment of my Source, which is pure sacred energy, so I stay close to the Light which obliterates all darkness.

I wish you continued NED, Shell. You've done a great job so far. See no profile on you and am wondering about your med history. Also would love to SEE you, ie a pic. And would most definitely love to hear what you think your secret to success thus far is attributable to. We'd all love to hear that! Please share. And BE WELL. Sending loving, happy energy to you and all my Soul Sisters, as always ....
Andi
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Andi BB
'95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...

'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...

Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...! REMAIN STABLE... Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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Old 09-16-2007, 08:18 PM   #4
Bev
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Join Date: Dec 2005
Location: Alexandria, VA
Posts: 1,055
Shell,

Try to find Gina Popp"s posts on this site. I'm assuming you're stage IV. She had her own method of going on and off H based on blood tests, which worked well for her.

I'm a port hater, so I don't know if it's necessary to get a new one. I don't think H is
caustic like all the other fun drugs. BB
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